Dr Samuel Sun Kim, DO in Chino, CA - Medicare Family Practice

Dr Samuel Sun Kim, DO is a medicare enrolled "Family Medicine" physician in Chino, California. He went to At Still University, Arizona School Of Dentistry & Oral Hlth and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 5451 Walnut Ave, Chino, California. You can reach out to his office (for appointments etc.) via phone at (909) 464-9675.

Dr Samuel Sun Kim is licensed to practice in California (license number 20A12759) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073953469.

Contact Information

	Dr Samuel Sun Kim, DO
	5451 Walnut Ave, Chino, CA 91710-2609
	(909) 464-9675
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samuel Sun Kim
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	5451 Walnut Ave, Chino, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Samuel Sun Kim attended and graduated from At Still University, Arizona School Of Dentistry & Oral Hlth in 2011

NPI Data:

NPI Number: 1073953469
Provider Enumeration Date: 06/28/2013
Last Update Date: 10/27/2021

Medicare PECOS Information:

PECOS PAC ID: 6204059322
Enrollment ID: I20140519000756

Medical Identifiers

Medical identifiers for Dr Samuel Sun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073953469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A12759 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samuel Sun Kim allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Sun Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Samuel Sun Kim, DO 5451 Walnut Ave, Chino, CA 91710-2609 Ph: (909) 464-9675	Dr Samuel Sun Kim, DO 5451 Walnut Ave, Chino, CA 91710-2609 Ph: (909) 464-9675

Reviews and Comments

Family Medicine Doctors in Chino, CA

Dr. Jeffrey Robert Unger, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 14726 Ramona Ave, #110, Chino, CA 91710 Phone: 909-590-8409 Fax: 909-590-8695
Dr. Augustin A Lin, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 13768 Roswell Ave, Suite #120, Chino, CA 91710 Phone: 909-396-1755 Fax: 909-396-8268
Janice Chan, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13193 Central Ave Ste 100, Chino, CA 91710 Phone: 909-464-9675
Farah A Ameeri, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13768 Roswell Ave, Suite 115, Chino, CA 91710 Phone: 909-364-0600 Fax: 909-364-1126
Dr. Cynthia Diane Moreno, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 15361 Central Ave, Chino, CA 91710 Phone: 909-363-7171 Fax: 909-363-7676
Dr. Fidel Foster Pinzon, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5475 Walnut Ave, Chino, CA 91710 Phone: 909-591-6446 Fax: 909-591-1309

Dr Samuel Sun Kim, DO - Medicare Family Practice in Chino, CA